安玉杰黑龙江省佳木斯市中心医院肿瘤外二科，黑龙江佳木斯　154002

护理风险管理在肿瘤外科护理管理中的应用

安玉杰
黑龙江省佳木斯市中心医院肿瘤外二科，黑龙江佳木斯154002

目的 在肿瘤外科的护理管理中应用护理风险管理，分析应用后效果。方法 选取2014年1月—2016年1月期间该科接收并进行治疗的肿瘤患者180例，随机分成实验组和对照组，各90例。对照组实施常规护理，实验组在对照组基础上增加了护理风险管理。比较分析两组患者的护理效果及患者满意度评价。结果 对照组发生护理差错12例，患者投诉10例，发生了7例风险事件；实验组发生3例护理差错，没有患者投诉，也没有发生风险事件；对照组患者满意48例，一般满意29例，不满意13例，总满意率85.6%；实验组患者满意65例，一般满意19例，不满意6例，总满意率93.3%，两组结果差异均有统计学意义（P＜0.05）。结论 在肿瘤外科的护理管理中应用护理风险管理后大大降低了护理风险事件的发生率，增强了该科护理安全性。

护理风险管理；肿瘤外科；护理管理

［Abstract］Objective To analyze the application effect of nursing risk management in the nursingmanagement in the department of surgical oncology.M ethods 180 cases of tumor patients admitted and treated in our department of our hospital from January 2014 to January 2016 were selected and randomly divided into two groups with 90 cases in each，the control group adopted conventional nursing，the experimental group adopted nursing risk management on the basis of the control group，and the nursing effect and satisfactory degree evaluation of patientswere compared between the two groups.Results Nursing error，compliant and risk events respectively occurred to 12 cases，10 cases and 7 cases in the control group and 3 cases，0 case and 0 case in the experimental group，and in the control group，48 caseswere satisfied，29 caseswere generally satisfied，13 caseswere unsatisfied and the total satisfactory rate was 85.6%，in the experimental group，65 caseswere satisfied，19 caseswere generally satisfied，and 6 caseswere unsatisfied，and the total satisfactory rate was 93.3%，and the differences in results between the two groups had statistical significance，P＜0.05.Conclusion The application of nursing risk management in the department of surgical oncology can greatly reduce the incidence rate of nursing risk events，and strengthen the safety of nursing in our department.

［Key words］Nursing riskmanagement；Department of surgical oncology；Nursingmanagement

临床上对于护理管理的一种重要的管理方式便是护理风险管理。护理风险在临床上是可查可控的，所以通常通过有效的预防措施来提高护理质量。护理风险管理的主要特征是评估依据是护理中潜在的风险因素，随后采取切实有效的应对措施，可以最大限度降低护理风险事件的发生率，进而减少给患者带来的危险，保障护理的安全性。肿瘤外科的患者病情一般较为复杂，治疗过程比较繁琐，需要加强管理来减少护理风险事件［1-3］。……